Laparoscopically assisted anorectal pull-through for high imperforate anus in infants: intermediate results

Laparoscopic assisted anorectoplasty in children: a prospective study

“…Mean operative time and mean blood loss has been found more in present study compared to study of Tong et al, and Ming AX although similar to Jung et al, study. 11,12,17 Conversion rate has been found higher as compared to other studies. This could be attributed to learning curve and due to reason that laparoscopic anorectoplasty has been done for first time in our institute and further improvement in our skill is needed to match results of other studies.…”

“…Tong et al observed male dominance in their study of 33 patients with male:female ratio of 9:2. 11 Stephens and Smith and Rintala et al also reported that in Western communities there is a male preponderance, with 55 to 70% of patients in larger series being male. 14,15 The more severe malformations tend to be more common in male patients.…”

“…When compared with other studies Tong et al observed mean age of 33 patients undergoing LAARP to be 5.3 (range 3-10) months. 11 Jung et al in their study of 25 male subjects, who underwent LAARP for rectourethral or rectovesical fistula, observed the mean age to be 2.7 months. In the present study, male patients (87.50%) dominated the studied group with a male:female ratio of 7:1.…”

“…De Vos et al, observed in his study rectoprostatic fistula (7.3%), rectobulbar fistula (48%), rectovesical fistula (2.43%) and rectovaginal fistula (14.63%). 13 Tong et al, 11 reported most common type of imperforate anus as rectoprostatic fistula (66.67%), followed by rectobulbar fistula (18.18%), rectovaginal fistula (12.12%) and rectovesical fistula (3.03%). Iwanaka et al found in their study that the most common type of ARM in male patients was prostatic (30.6%), followed by rectourethral and bulbar.…”

“…11 Jung et al observed mean body weight of 5.7±1.6kgs. Weight of more than 6 kilograms was found in both the studies.…”